NURS 670 Advanced Physical Assessment Final Exam Latest Update - 100 Questions and 100% Verified Correct Answers Guaranteed A+ At First Attempt Verified By Professor
3 Ways SOAP Framework is used - CORRECT ANSWER: Order the patient visit. First
gathering history (S), then completing an exam (O), then sitting down with the patient to discuss the diagnosis (A), and then collaborating with the patient on a plan of management (P).
SOAP is how we communicate with those on the healthcare team via our documentation. There are rules to where we document what information. Remembering that subjective and objective data should never mix. This is the outline of what information is documented under each part of the SOAP note.
SOAP is how we think through data. This was the critical thinking data. We think through subjective data to generate hypothesis. Then we think through the subjective data putting it into buckets to help us make decision to do we keep it or let it go to explore in the physical exam.
5 Parts of Plan - CORRECT ANSWER: Diagnostics
Therapeutics
F/U
Referral
Patient education
Active Listening - CORRECT ANSWER: Carefully listening to what the patient is saying 1 / 3
Focus on what the patient is SAYING
Active Medical History - CORRECT ANSWER: Medical problems for which they are
CURRENTLY being treated for
When was it diagnosed?
What is the tx for it?
Must be DIAGNOSED and MANAGED by a provider
Anchoring Bias - CORRECT ANSWER: First Impression
Excessive weight on one clinical feature that the clinician typically learns early in the patient encounter.
This typically causes the clinician to stop thinking about alternatives, and once the decision is made, it is hard for the clinician to change course.
Assessment (A in SOAP Framework) - CORRECT ANSWER: Final assessment
MEDICAL DIAGNOSIS
Can be symptoms
Does NOT have to be definitive
Bias - CORRECT ANSWER: an individual consciously holds a belief, stereotype, or
prejudice toward a specific group and supports and communicates this belief. 2 / 3
BOLDCARTS+1 - CORRECT ANSWER: B: Backstory; health just before onset of symptoms
O: Onset; when did it start, how did it start
L: Location
D: Duration; How long has it been going on?
C: Character: Describe it; "crushing", what is it like?
A: Aggravating, Alleviating, associating: What makes it worse / better? What goes along with it?
R: Radiation; Where does it go?
T: Timing
S: Severity
+1: Patient thoughts; what do YOU think is causing this
Calgary Cambridge Guides - CORRECT ANSWER: Describes the structure and timeline
of the clinical encounter
Initiate the session Gather information PE
- / 3